To fill out cavities amalgam has been a very common material used for many years. It has been popular because of its effectiveness and cost. Amalgam is also known as silver fillings. Though for a long period of time concerns have been raised if amalgam is healthy because of the content of mercury. Amalgam contains copper, tin, silver, and mercury – some can also contain tiny amounts of palladium, zinc, and indium.
Today tooth-colored materials have been developed to rebuilt and restore teeth. Therefore amalgam has been used less. Though for some repairs amalgam is still a better solution and in some cases cheaper and stronger.
The removal of amalgam can be of concerns of health or an aesthetic view. Some argue that you are more exposed to mercury through food in your daily routines. Though for some there may be an allergic reaction.
In our clinic, we are very aware of the importance of moving amalgam fillings both for the health and safety of our patient and dentist and staff. We treat our patients individually and it is often a good solution to send photos and x-rays in order for our dentists to give the best answer and treatment plan.
For some, if the metal filling just appears on the surface then we are able to replace it with a white filling (composite). Though if it is bigger it often needs a crown/onlay/inlay/overlay because of the size of the filling and that will easily make the white filling break because it is not as strong.
The price for teeth fillings start from Rp 850.000 per tooth
The dentist will start by taking an x-ray of the tooth to see the size of the amalgam filling and to make sure the tooth doesn’t have any cracks. If this is the case the dentist might recommend a root canal or extraction instead.
After numbing the tooth the dentist will place a rubber dam. This is to prevent you from swallowing any of the material as the dentist remove it. Removal of the old filling takes time.
When the old amalgam filling has been remove, then the dentist will build up the tooth again with composite filling.
Composite fillings will normally last around 5 years but depends on your oral hygiene
Tooth sensitivity following placement of a filling is fairly common. A tooth may be sensitive to pressure, air, sweet foods, or temperature. Usually, the sensitivity resolves on its own within a few weeks. During this time, avoid those things that are causing the sensitivity. Pain relievers are generally not required.
Contact your dentist if the sensitivity does not subside within two to four weeks or if your tooth is extremely sensitive. He or she may recommend a desensitizing toothpaste, may apply a desensitizing agent to the tooth, or possibly suggest a root canal procedure.
Pain around the fillings can also occur. If you experience pain when you bite, the filling may be interfering with your bite. You will need to return to your dentist and have the filling reshaped. This sometimes happens as the anesthetics wear out.
If the decay was very deep or close to the pulp of the tooth, you may experience a “toothache-type” pain. This “toothache” response may indicate this tissue is no longer healthy. If this is the case, root canal therapy may be required.
In our clinic we use composite for filling teeth. Advantages of composites:
The price for replacing amalgam filling with composite start from Rp 850.000 per tooth.
The price depends on the depth of the cavity
Before and after pictures for this treatment are available on request